Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Lyon Foot & Ankle Specialists, PC

Organization Podiatrist · NPI 1003809682

South Lyon Foot & Ankle Specialists, PC is a Podiatrist in South Lyon, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

22245 Pontiac Trl
South Lyon, MI 48178-1639
Phone: (248) 486-8886
Fax: (248) 486-8887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X (MI)

Record details

NPI number1003809682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Mastrogiocomo — Owner/President/Podiatrist · (248) 486-8886
NPI enumeratedAugust 29, 2005
Last updated in NPPESJuly 21, 2022
Mailing address22245 Pontiac Trl, South Lyon, MI 48178-1639

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